340B Drug Pricing Program Database

Name

CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION, INC.

Subdivision Name

Jackson-Hinds Central Mississippi Medical Center Site

Type

HRSA-Funded Health Center

Site ID

BPS-H80-019519

340B ID

CH04075H

Grant Number

H80CS00084

Current Program Status

Terminated

Registration Date

4/20/2015

Participating Start Date

7/1/2015

Participating Approval Date

5/11/2015

Last Recertification Date

2/9/2024

Termination Date
Termination Reason

4/1/2025
Site closure

Authorizing Official

Central Mississippi Civic Improvement Association, Inc.
Jasmin Chapman, Chief Executive Officer
(601) 364-5142

Primary Contact

Central Mississippi Civic Improvement Association, Inc.
Techandra J Mayes, Chief Financial Officer
(601) 364-5182

Street Address

1860 Chadwick Dr STE 254
Jackson, MS 39204-3472

Billing Address

Central Mississippi Civic Improvement Association, Inc.
PO Box 3437
Jackson, MS 39207